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Lamotrigine (Lamictal) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

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Outline

Generic Name

lamotrigine

Trade Name

Lamictal

Indication

seizures r/t epilepsy, bipolar

Action

Inhibits sodium transport in neurons

Therapeutic Class

anticonvulsant

Nursing Considerations

• may cause suicidal thoughts, dizziness, behavior changes, nausea, vomiting, photosensitivity,
rash, Stevens-Johnson Syndrome
• use caution with oral contraceptive use
• assess mental status
• assess for seizures
• do not discontinue use abruptly

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Transcript

Hey guys, let’s talk about, Ligen also known as Lamictal. This is an oral medication, as you can see here, remember the therapeutic class of a drug is how the drug works in the body, which in this case is an anti-convulsant. The Mogen works because it inhibits sodium transport in neurons, which is wide is indicated for the treatment of seizures, which are related to epilepsy. And also for bipolar disorder. Some of the side effects that we see with Ligen are nausea, vomiting, dizziness, and photos sensitivity. Let’s take a look at a few nursing considerations for this drug use caution. If the patient is also on oral contraceptives, as oral contraceptives can actually decrease the effectiveness of LiRo gene assess the patient’s mental status and seizures while on LiRo gene LiRo gene may cause Steven Johnson syndrome. It may cause suicidal thoughts in the patient, a rash and also behavior changes. It is important to teach the patient that they should absolutely not discontinue use abruptly, and they should definitely report any suicidal feelings or thoughts. Ligen carries a black box warning with the development of serious reactions like Steven’s Johnson syndrome, toxic epiderm necrolysis and dress syndrome, which occur in the first two to eight weeks of therapy. If a patient reports, any skin eruptions, it is imperative that it is investigated thoroughly. As these skin issues can lead to death in the patient.

That’s it for Ligen or LA now go out and be your best self today and as always happy nursing.

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Pharmocology

Concepts Covered:

Study Plan Lessons

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

6 Rights of Medication Administration

Renin Angiotensin Aldosterone System

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Autonomic Nervous System (ANS)

Benzodiazepines

Cardiac Glycosides

Corticosteroids

Calcium Channel Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Nitro Compounds

Nitro Compounds

Parasympatholytics (Anticholinergics) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Proton Pump Inhibitors

Disease Specific Medications

NG Tube Medication Administration

Pharmacodynamics

Pharmacokinetics

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

The SOCK Method – S

The SOCK Method – C

The SOCK Method – K

The SOCK Method – O

The SOCK Method – Overview

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACLS (Advanced cardiac life support) Drugs

Parasympathomimetics (Cholinergics) Nursing Considerations

Anti-Infective – Aminoglycosides

Anti-Infective – Carbapenems

Anti-Infective – Macrolides

Anti-Infective – Fluoroquinolones

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Anti-Infective – Antifungals

Anti-Infective – Antivirals

Acyclovir (Zovirax) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Anti-Platelet Aggregate

Amoxicillin (Amoxil) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Sympatholytics (Alpha & Beta Blockers)

Antianxiety Meds

Mood Stabilizers

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Meds for Postpartum Hemorrhage (PPH)

Opioid Analgesics in Pregnancy

Sedatives-Hypnotics

Betamethasone and Dexamethasone in Pregnancy

Anti-Infective – Antitubercular

Antidepressants

Thrombin Inhibitors

Hepatitis B Vaccine for Newborns

Phytonadione (Vitamin K) for Newborn

Eye Prophylaxis for Newborn

Lung Surfactant for Newborns

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Anti-Infective – Lincosamide

Antidiabetic Agents

Anti-Infective – Glycopeptide

Anticonvulsants

Bronchodilators

Anesthetic Agents

ACLS (Advanced cardiac life support) Drugs

Anti-Infective – Aminoglycosides

Anti-Infective – Carbapenems

Anti-Infective – Macrolides

Anti-Infective – Fluoroquinolones

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Anti-Infective – Antifungals

Anti-Infective – Antivirals

Anti-Infective – Lincosamide

Anticonvulsants

Antidiabetic Agents

Sympatholytics (Alpha & Beta Blockers)

Anti-Infective – Antitubercular

Anti-Infective – Glycopeptide

Bronchodilators

Anesthetic Agents

Patient Controlled Analgesia (PCA)

Interactive Practice Drip Calculations

Interactive Pharmacology Practice

Plant Alkaloids Topoisomerase and Mitotic Inhibitors

Pediatric Dosage Calculations

Alkylating Agents

Antimetabolites

Antineoplastics

Anti Tumor Antibiotics

Captopril (Capoten) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Diphenhydramine (Benadryl) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Iodine Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Magnesium Sulfate (MgSO4) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Ibuprofen (Motrin) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Long Acting (Lantus) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations